Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiersten Marie Fanell, PA-C

Individual provider Physician Assistant · NPI 1013894856

Kiersten Marie Fanell, PA-C is a Physician Assistant in Stuart, Florida. Qualified in 2025, 1 year ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone: (772) 287-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9120745 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9120745 (FL)

Record details

NPI number1013894856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESJanuary 11, 2026
Certification dateJanuary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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